摘要
前盆腔脏器脱垂病因复杂,脱垂形式多种多样,治疗方式不断改进,且其在各种盆腔脏器脱垂中发病率最高,严重困扰女性日常生活。随着人们对生活质量要求逐渐提高,前盆腔脏器脱垂的研究受到广泛重视。前盆腔脏器脱垂由阴道前壁支持组织的薄弱或损伤所导致,主要与高龄、分娩次数和肥胖有关,临床上主要通过患者的临床表现、脱垂定量(pelvic organ prolapse quantitation,POP-Q)评分及盆底超声等辅助检查来评估病情,诊断时需对中央缺陷与阴道旁缺陷、前膀胱脱垂与后膀胱脱垂进行鉴别,治疗方式包括了手术治疗与非手术治疗,本文将对以上内容进行综述,以期为临床的诊断及治疗提供依据。
The causes of pro-pelvic organ prolapse are complicated, the prolapse forms are various, the treatment methods are improved, and the incidence rate of pro-pelvic organ prolapse is the highest in the various pelvic organs prolapse, seriously disturbing the daily life of women. With the improvement of living quality, pro-pelvic organ prolapse has been paid more attention. Propelvic organ prolapse is caused by weakness or injury of the anterior vaginal wall supporting tissue, which is mainly related to old age, number of delivery and obesity. Clinically, the condition is mainly evaluated through the clinical manifestation, pelvic organ prolapse quantitation(POP-Q) and ultrasonography. Central defect and paraginal defect, anterior bladder prolapse and posterior bladder prolapse should be identified during diagnosis. Treatment modalities include surgical treatment and non-surgical treatment. This article will review the above contents in order to provide the basis for clinical diagnosis and treatment.
作者
谢娇
宋悦
XIE Jiao;SONG Yue(Department of Gynaecology and Obstetrics,Shengjing Hospital,China Medical University,Shenyang 110001,China)
出处
《临床与病理杂志》
2018年第9期2039-2044,共6页
Journal of Clinical and Pathological Research
关键词
前盆腔脏器脱垂
发病机制
治疗
超声检查
pro-pelvic organ prolapse
pathogenesis
treatment
ultrasonography